Active NPI
Sunil V Lalla, M.D.
- Surgery Physician
- Murrells Inlet, SC
National Provider Identifier
1194727537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 17757
- Practice address
- 4367 Riverwood Dr
Suite 130
Murrells Inlet, SC 29576-4368 - Phone
- (843) 652-8390
- Fax
- (843) 652-8391
- NPI assigned
- Aug 15, 2005
- Last updated
- Oct 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17757 | SC | Primary |
Addresses
Primary practice location
4367 Riverwood Dr
Suite 130
Murrells Inlet, SC 29576-4368
Mailing address
PO Box 1209
Murrells Inlet, SC 29576-1209
Phone (843) 652-8220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3021 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster Surgical Associates, P.a. | Surgery | Past | Accepting new patients |
| Plantation Pointe Surgery and Endoscopy, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Lancaster, SC
- NPI 1538161047
-
- Specialist
- Lancaster, SC
- NPI 1558514240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1194727537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1209",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295761209",
"telephone_number": "843-652-8220",
"fax_number": "843-527-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4367 RIVERWOOD DR",
"address_2": "SUITE 130",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295764368",
"telephone_number": "843-652-8390",
"fax_number": "843-652-8391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALLA",
"first_name": "SUNIL",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "17757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3021",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.